Individual
TODD S GILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17200 NW CORRIDOR CT STE 110, BEAVERTON, OR 97006-3295
(503) 614-8633
(503) 614-8635
Mailing address
17200 NW CORRIDOR CT STE 110, BEAVERTON, OR 97006-3295
(503) 614-8633
(503) 614-8635
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22422
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288258
—
OR
Enumeration date
05/22/2006
Last updated
06/25/2025
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